• Title/Summary/Keyword: 응급 의료서비스

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A Study on Construction of IoT Environment for ICT- based Information Support (AIP 정보 확장 지원을 위한 IoT 환경 구축에 관한 연구)

  • Sim, Sung-Ho
    • Journal of Convergence for Information Technology
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    • v.8 no.6
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    • pp.251-256
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    • 2018
  • There have been various studies being conducted to prepare for aging society due to the recent trend of rapid aging. The silver industry such as wellness, senior monitoring and support service, and emergency medical assistance services for the elderly is growing fast. However, due to economic problems, limited services are being provided. In addition, the problem of residence of elderly people and care of elderly patients are also becoming important issues to be solved. Aging in Place is emerging as an alternative to solve the problem of local deviation, controlled communication, and loss of self-sufficiency in the process of residents residing in the facility. In this paper, we propose IoT environment construction for ICT based Aging in Place information extension support. By building an IoT environment for Aging in Place support, users can be provided with services that can meet their needs in a familiar environment. The proposed method builds an environment that can be self-supporting based on the user's information and provides medical, transportation, and life support services for the elderly.

An Analysis on the Demand of Rural Settlement Support Services for Rural Residents (경북 울진군 기성면 척산리 중심의 농촌정주지원 서비스 요구사항 분석)

  • Choi, Yoon-Ji;Hwang, Jeong-Im;Kim, Young;Park, Gwang-Rae
    • Proceedings of the Korean Society of Community Living Science Conference
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    • 2009.09a
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    • pp.106-106
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    • 2009
  • 영국에서는 농촌문제의 심각성과 범정부적 대책 마련에 대한 부처간 인식 공유가 증가함에 따라 2000년 "농촌백서"에 '농촌서비스 표준화(Rural Services Standard, RSS)'를 제정하였다. RSS는 농촌 주민의 삶의 질 제고와 복지 서비스 향상을 위해 달성할 주요 서비스의 National Minimum을 의미한다. 매년 RSS 운용에 대한 지속적인 모니터링을 통하여 내용을 매년 업데이트 하고 있다. 교육 및 아동서비스, 광대역 통신, 사회적 돌봄, 우체국 서비스, 보건, 인터넷 접속, 긴급 서비스, 교통의 8개분야 13개 서비스 기준을 설정 제시하고 있다. 우리의 경우도 농촌 주민의 삶의 질 향상을 위한 범정부적 투자가 이루어져 왔지만 농촌지역의 사회서비스 기준을 도시와 비교해 보면 아직도 부족한 부분이 많이 있다. 농촌 인구가 감소되고 있는 상황에서 지속적인 하드웨어 중심적 투자에 대한 의문제기와 함께 농촌 주민들이 최소한의 공적 서비스를 활용할 수 있는 기반이 되어야한다는 의견이 대립되고 있는 가운데 그 해결책을 찾기 위하여 '농촌 서비스 기준'을 설정하자는 논의가 추진되고 있다. 이에 본 연구에서는 인구 5만 이상 군지역에 속하는 경상북도 울진군 기성면 척산리를 중심으로 농촌 정주지원 서비스 요구사항을 분석하였다. 척산리에는 총가구 187호 363명이 거주하고 있으며 지난 3년간 인구 이동이 전혀 없었다. 주민들의 연령대는 50~60대가 가장 많으며 척산 3리가 가장 고령화 되어 있는 것으로 나타났다. 교통 환경은 좋은 편이었는데 기성공용버스 정류장에 10곳 이상의 차편이 있고 7번 국도가 있어 타 지역으로 이동도 용이하였다. 마을에 보건/의료를 담당하는 곳은 보건진료소뿐이었으며 잦은 외근과 구급약 부족 등으로 불편을 호소하고 있었다. 응급상황 발생시 수송 가능한 응급체계는 갖춰져 있지 않았고 노인들이 가장 많이 이용하는 물리 치료실은 일주일에 3번 개방하기에 불편하다고 하였다. 3층 건물의 복지회관이 있으나 장날(5일장; 1일, 5일)만 개방되어 이용에 한계가 있었고 마을주민을 위해 운영되는 프로그램은 없었다. 논농사 중심의 경제생활이었고, 부녀회와 청년회 등은 면단위 또는 행정리로 묶어서 운영하고 있었다. 주민들은 울진군 면소재지 중 척산리에만 약국이 없어 불편한 사항이 많기에 약국, 물리치료실의 상시 개방을 필요로 하였으며 장날을 이용한 노인대상 영화상영, 강연회 등 다양한 문화프로그램 운영을 희망하였다.

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Convergence awareness of basic emergency treatment by private ambulance drivers (민간구급차 운전자의 기본 응급처치 지식에 관한 융복합적 의식조사)

  • Kim, Soo-Tae;Lee, Young-Hee;Shin, Dong Min
    • Journal of the Korea Convergence Society
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    • v.8 no.8
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    • pp.127-136
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    • 2017
  • The purpose of the study was to investigate the awareness of basic emergency care by private ambulance drivers. A self-reported questionnaire was completed by 300 private ambulance drivers in Seoul, Gyeonggi, and Incheon from February 20 to April 1, 2013. The questionnaire consisted of basic life support related airway management(3 items), respiratory management(9 items), circulation(4 items), consciousness(4 items), and infection control(3 items). The awareness of infection control accounted for 87% and emergency care including airway, breathing, consciousness, and respiration was 60%. The knowledge of emergency care was 15.20(maximum 23.0 points). Consciousness was 2.55(maximum 4.0), airway management was 2.08(maximum 3.0), respiration was 5.35(maximum 9.0), circulation was 2.56(maximum 4.0), and infection control was 2.64(maximum 4.0). In order to improve the quality of private ambulance drivers, it is important to develop the emergency care program and expansion.

Ring-type Heart Rate Sensor and Monitoring system for Sensor Network Application (센서 네트워크 응용을 위한 반지형 맥박센서와 모니터링 시스템)

  • Jang, In-Hun;Sim, Kwee-Bo
    • Journal of the Korean Institute of Intelligent Systems
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    • v.17 no.5
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    • pp.619-625
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    • 2007
  • As low power, low cost wireless communication technology like Bluetooth, Zigbee, RFID has been put to practical use together with the wellbeing trend, the concern about ubiquitous health care has been greatly increased and u-Health is becoming one of the most important application in the sensor network field. Especially, development of the medical services to be able to cope with a state of emergency for solitary senior citizens and the aged in silver town is very meaningful itself and their needs are also expected to continuously increase with a rapid increase in an aging population. In this paper we demonstrate the feasibility of extracting accurate heart rate variability (HRV) measurements from photoelectric plethysmography(PPG) signals gathered by a ring type pulse oximeter sensor attached to the finger. For this, we made 2 types of ring sensor, that is reflective and pervious type, and developed the remote monitoring system which is able to collect HR data from ring sensor, analyze and cope with a state of emergency.

A study on Medical servicer satisfaction of Emergency Department patient (응급실 내원자의 의료서비스 만족에 관한 연구)

  • Kwon, Seon Suk;Yoo, In Soo;Jung, Ha Sook
    • The Korean Journal of Emergency Medical Services
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    • v.1 no.1
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    • pp.42-53
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    • 1997
  • To offer basic data about the influential factors on patient's Satisfaction level for emergency medical services the authors were performed this study in 60 patients visited to emergency room of third stage general hospital in Taejeon city. Data were collected through interview with patients by using a 15 items' questionaire according to care subscale, teaching subscale of Likert's five stage quantitative scale and the tools developed by Barbara Davis. The data were analyzed by using the SPSS/PC computerized program for mean, standard deviation, percentage, ANOVA, t-test, and pearson correlation. The results are as followings ; 1. Satisfaction of emergency medical service were showed in care area, but not showed in teaching and total area 2. Satisfaction of sociodemographic characteristics were a statistically significant difference only marriage, that were the higher in marriaged than single(P<.0.05). 3. In the emergency situation characteristics the satisfaction accordings to the visit cause were lower in accident than disease group, the reason of hospital selection were in order trust, introduction group, distance, traffic, kinds, and score of satisfaction were showed each of 43.47, 51.27(P<.001), the transportation vehicle was the 119, hospital ambulance group. but were not a satistically significant difference. 4. The negative correlation was observed between satisfaction and the length of stay at ER and the longer length of stay at ER was showed the lower satisfaction. But the positive correlation was observed between satisfacton and the arrival time, patients who arrived ER from 6:00P.M. to midnight were more satisfied than patients who arrived other time. 5. The length of stay at ER was significantly different according to the reason of hospital selection, the reason of ER selection, the visitant cause and hopital decisioner. Especially the length of stay was much longer in accident group and unconscious group.

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Domestic and Foreign Case Studies on ICT Convergence for Mental Heath Improvement and Suicide Prevention (정신건강 증진과 자살예방을 위한 ICT 융합 국내외 사례 연구)

  • Kim, Ho-Kyung;Shin, Dong-Hee
    • The Journal of the Korea Contents Association
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    • v.15 no.5
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    • pp.592-606
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    • 2015
  • Depression and mental illness across all age groups, and steady increasing in suicide rate are our major social problems which cause dramatically decreasing government competitiveness. While Korean government has implemented various policies to improve mental health and prevent suicide, it faces revealing issues in progress on implementation and referral management systems. The current research examined domestic and foreign cases to understand the actual status and directivity of ICT convergence plan in terms of mental health. The United States and the United Kingdom have provided convergent ICT service, telepsychiatric care to senior citizens in rural areas, children and adolescents, socially disadvantaged class, etc. In Korea, emergency-notice devices are installed to prevent suicide for single elderly people, and diverse mobile health devices are developing to cure depression and Alzheimer's disease. ICT convergent mental health care service is needed to save socioeconomic costs and realize universal welfare for an aging society. Social consensus on sharply conflict issues, medical law and medical devices about telepsychiatry service, effectiveness studies on users' unique psychiatric characteristics by life cycle, and region-specialized strategies for the least densely populated rural regions with lower access to medical care should be considered.

An Implementation of Wireless Monitoring System for Health Care (헬스 케어를 위한 무선 모니터링 시스템 구현)

  • Eom, Sang-Hee;Chang, Yong-Hoon
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.12 no.8
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    • pp.1401-1407
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    • 2008
  • Recently, a health care need according to the increase of an advanced age population is increasing. The requirement about a health care monitoring is increasing rapidly from general people as well as patient. The requisition about a medical treatment technique and a medical treatment information service is the trend to be expanding. That can be possible minimizing the inconvenience of the patient to take a medical service and continuously monitoring the status of the patient to take a health care service. This paper discusses an implementation of wireless physiological signal monitoring system for health care. The system are composed of the sensor node and monitoring program. The sensor node has the physiological signal measurement part and the wireless communication part. The remote monitoring system has a monitoring program that are communicating the sensor node using bluetooth. The sensor node measured the ECG, pulse wave, blood pressure, SpO2, and heart rate.

Evaluation of Validity of the Korean Triage and Acuity Scale (한국형 응급환자 분류도구의 타당도 평가)

  • Choi, Heejung;Ok, Jong Sun;An, Soo Young
    • Journal of Korean Academy of Nursing
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    • v.49 no.1
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    • pp.26-35
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    • 2019
  • Purpose: The aim of this study was to identify the predictive validity of the Korean Triage and Acuity Scale (KTAS). Methods: This methodological study used data from National Emergency Department Information System for 2016. The KTAS disposition and emergency treatment results for emergency patients aged 15 years and older were analyzed to evaluate its predictive validity through its sensitivity, specificity, positive predictive value, and negative predictive value. Results: In case of death in the emergency department, or where the intensive care unit admission was considered an emergency, the sensitivity, specificity, positive predictive value, and negative predictive value of the KTAS were 0.916, 0.581, 0.097, and 0.993, respectively. In case of death in the emergency department, or where the intensive or non-intensive care unit admission was considered an emergency, the sensitivity, specificity, and positive predictive value, and negative predictive value were 0.700, 0.642, 0.391, and 0.867, respectively. Conclusion: The results of this study showed that the KTAS had high sensitivity but low specificity. It is necessary to constantly review and revise the KTAS level classification because it still results in a few errors of under and over-triage. Nevertheless, this study is meaningful in that it was an evaluation of the KTAS for the total cases of adult patients who sought help at regional and local emergency medical centers in 2016.

A development of a multimodal patch-type probe for measuring blood flow and oxygen saturation in carotid artery (경동맥 혈류 속도 및 산소 포화도 측정을 위한 다중모드 패치형 프로브 개발)

  • Youn, Sangyeon;Lee, Kijoon;Kim, Jae Gwan;Hwang, Jae Youn
    • The Journal of the Acoustical Society of Korea
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    • v.38 no.4
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    • pp.443-449
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    • 2019
  • To protect the patient's internal organs when a patient with cardiovascular disease occurs, it is important to reduce the elapsed time by providing emergency medical services. Decisions for conducting cardiopulmonary resuscitation are mainly made using the carotid palpation method, which directs the pulse of the carotid artery, which can diagnose the patient's condition according to one's own subject and cause cerebral blood flow to be blocked by excessive pressure in the carotid due to the weaken cardiopulmonary function. In this study, we developed a multimodal patch-type probe based on multi-channel ultrasound Doppler pairs and oxygen saturation measurement modules which can monitor cardiopulmonary functions. From the in-vivo experiments, the developed probe can be utilized as a novel tool that can increase the survival rate of cardiovascular disease patients by objectively monitoring the cardiopulmonary function of the patient quantitatively and promptly in an emergency situation.

Positive Study for the Method of Improving the Role of Fire Fighting with Social Change (사회변화에 따른 소방의 역할증대 개선방안에 관한 실증적 연구)

  • Kang, Chang-Gon
    • Fire Science and Engineering
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    • v.20 no.3 s.63
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    • pp.85-95
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    • 2006
  • Because the average span of human life is expanded by developing economy growth and medicine science elder population increases rapidly. According to that A first aid patient of demands grow, too so in a fire station. We have to prepare following these. First that the silver ambulance is in process of service is widely. second, medical teams and fire fighters construct unity Third, New curni culum makes under modern operating course. Forth, the problem that wireless paging system sets up and rums already. advances more effective. Fifth furthermore, we organize a private volunteer for an old age To connect that we enlarge total service for silver age. Through this fire fighting service. we are neloom to get more confidence and love.